Laparoscopic transduodenal sphincteroplasty

Martin A Makary, Hazem A. Elariny

Research output: Contribution to journalArticle

Abstract

Background: Common bile duct stones are a difficult problem, often leading to conversion to an open operation or repeated endoscopic procedures. Both strategies are associated with added morbidity. Materials and Methods: A new technique was developed to perform a traditional sphincteroplasty using minimally invasive methods. The procedure was performed on two patients with distal common bile duct stones; each patient had previously undergone at least two unsuccessful preoperative endoscopic retrograde cholangiopancreatography procedures by at least two different experienced endoscopists. Results: In both patients, a laparoscopic transduodenal sphincteroplasty was successfully completed. A transduodenal common bile duct exploration was performed at the time of sphincterotomy, successfully clearing the common bile duct in both cases. There were no untoward postoperative sequelae. Follow-up at one year was satisfactory in both patients. Conclusion: Laparoscopic transduodenal sphincteroplasty can be safely performed in patients with common bile duct stones refractory to endoscopic retrograde cholangiopancreatography. This technique offers a new approach to the management of common bile duct stones, and can spare patients the need for an open operation or subsequent endoscopic procedures.

Original languageEnglish (US)
Pages (from-to)629-632
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume16
Issue number6
DOIs
StatePublished - Dec 2006

Fingerprint

Transhepatic Sphincterotomy
Common Bile Duct
Endoscopic Retrograde Cholangiopancreatography
Morbidity

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic transduodenal sphincteroplasty. / Makary, Martin A; Elariny, Hazem A.

In: Journal of Laparoendoscopic and Advanced Surgical Techniques, Vol. 16, No. 6, 12.2006, p. 629-632.

Research output: Contribution to journalArticle

@article{8a782342c6be4cc78e249d3c261ca01c,
title = "Laparoscopic transduodenal sphincteroplasty",
abstract = "Background: Common bile duct stones are a difficult problem, often leading to conversion to an open operation or repeated endoscopic procedures. Both strategies are associated with added morbidity. Materials and Methods: A new technique was developed to perform a traditional sphincteroplasty using minimally invasive methods. The procedure was performed on two patients with distal common bile duct stones; each patient had previously undergone at least two unsuccessful preoperative endoscopic retrograde cholangiopancreatography procedures by at least two different experienced endoscopists. Results: In both patients, a laparoscopic transduodenal sphincteroplasty was successfully completed. A transduodenal common bile duct exploration was performed at the time of sphincterotomy, successfully clearing the common bile duct in both cases. There were no untoward postoperative sequelae. Follow-up at one year was satisfactory in both patients. Conclusion: Laparoscopic transduodenal sphincteroplasty can be safely performed in patients with common bile duct stones refractory to endoscopic retrograde cholangiopancreatography. This technique offers a new approach to the management of common bile duct stones, and can spare patients the need for an open operation or subsequent endoscopic procedures.",
author = "Makary, {Martin A} and Elariny, {Hazem A.}",
year = "2006",
month = "12",
doi = "10.1089/lap.2006.16.629",
language = "English (US)",
volume = "16",
pages = "629--632",
journal = "Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A",
issn = "1092-6429",
publisher = "Mary Ann Liebert Inc.",
number = "6",

}

TY - JOUR

T1 - Laparoscopic transduodenal sphincteroplasty

AU - Makary, Martin A

AU - Elariny, Hazem A.

PY - 2006/12

Y1 - 2006/12

N2 - Background: Common bile duct stones are a difficult problem, often leading to conversion to an open operation or repeated endoscopic procedures. Both strategies are associated with added morbidity. Materials and Methods: A new technique was developed to perform a traditional sphincteroplasty using minimally invasive methods. The procedure was performed on two patients with distal common bile duct stones; each patient had previously undergone at least two unsuccessful preoperative endoscopic retrograde cholangiopancreatography procedures by at least two different experienced endoscopists. Results: In both patients, a laparoscopic transduodenal sphincteroplasty was successfully completed. A transduodenal common bile duct exploration was performed at the time of sphincterotomy, successfully clearing the common bile duct in both cases. There were no untoward postoperative sequelae. Follow-up at one year was satisfactory in both patients. Conclusion: Laparoscopic transduodenal sphincteroplasty can be safely performed in patients with common bile duct stones refractory to endoscopic retrograde cholangiopancreatography. This technique offers a new approach to the management of common bile duct stones, and can spare patients the need for an open operation or subsequent endoscopic procedures.

AB - Background: Common bile duct stones are a difficult problem, often leading to conversion to an open operation or repeated endoscopic procedures. Both strategies are associated with added morbidity. Materials and Methods: A new technique was developed to perform a traditional sphincteroplasty using minimally invasive methods. The procedure was performed on two patients with distal common bile duct stones; each patient had previously undergone at least two unsuccessful preoperative endoscopic retrograde cholangiopancreatography procedures by at least two different experienced endoscopists. Results: In both patients, a laparoscopic transduodenal sphincteroplasty was successfully completed. A transduodenal common bile duct exploration was performed at the time of sphincterotomy, successfully clearing the common bile duct in both cases. There were no untoward postoperative sequelae. Follow-up at one year was satisfactory in both patients. Conclusion: Laparoscopic transduodenal sphincteroplasty can be safely performed in patients with common bile duct stones refractory to endoscopic retrograde cholangiopancreatography. This technique offers a new approach to the management of common bile duct stones, and can spare patients the need for an open operation or subsequent endoscopic procedures.

UR - http://www.scopus.com/inward/record.url?scp=33846232670&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33846232670&partnerID=8YFLogxK

U2 - 10.1089/lap.2006.16.629

DO - 10.1089/lap.2006.16.629

M3 - Article

C2 - 17243885

AN - SCOPUS:33846232670

VL - 16

SP - 629

EP - 632

JO - Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A

JF - Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A

SN - 1092-6429

IS - 6

ER -